Baltadjiev Atanas G
Department of Anatomy, Histology and Embryology, Medical University, Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2013 Jan-Mar;55(1):64-9. doi: 10.2478/folmed-2013-0007.
The AIM of the present study was to determine the somatotype of females patients with type 2 diabetes mellitus.
Two-hundreds and twelve female patients with type 2 diabetes mellitus were measured. The patients were of Bulgarian ethnicity and were divided into two age groups: Group 1: 40-60 years of age and Group 2: 61-80 years of age. The control group comprised healthy females of Bulgarian ethnicity without any metabolic, neoplastic, or other disease divided into age matched groups. Measurements obtained directly were height, body weight, biepicondylar width of humerus, biepicondylar width of femur, arm circumference in relaxed state, arm circumference in contracted state, and calf circumference. Skin folds: subscapular, suprailiac, over triceps and calf. Parameters calculated: the components of the Heath-Carter anthrpometric somatotype.
The mean somatotype of 40-60-year-old female diabetics was mesomorph endomorph, (meso 6.09; endo 6.59; ecto 1.57). The mean somatotype of 40-60-year-old female controls was mesomorphic endomorph (meso 5.65; endo 6.82; ecto 2.75). The mean somatotype of 61-80-year-old diabetic females was endomorphic mesomorph (endo-mesomorph), (meso 9.41; endo 5.39; ecto 1.55). The mean somatotype of 61-80-year-old female controls was mesomorph-endomorph (meso 6.70; endo 6.66; ecto 2.95). Between-age comparison of female diabetics: the endomorph component dominated in the group of 40-60-year-old patients, and the mesomorph component dominated in the group of 61-80-year-old patients. In both groups ectomorphy markedly lagged behind.
The mean somatotype of diabetic females aged 40-60 years is mesomoph-endomorph; it differs from the mesomorphic mesomorph somatotype of the control subjects, Endomorphy and mesomorphy dominate clearly, and ectomorphy significantly lags behind. This was the reason we get a distorted somatoplot with a sharp shift to endomorphy and mesomorhpy. The mean somatotype of diabetic women aged 60-80 years was endomorphic mesomorphy with the mesomorphy component leading. It differed from the somatotype of the controls, where mesomorphy and endomorphy scored equally (mesomorph-endomorph). The somatotype of female diabetics suggests that they have a relatively massive skeleton with well-developed muscles and greater body weight relative to height. Unlike the results of studies in other countries presenting with markedly dominating endomorphy, in our study the Bulgarian diabetic females presented with dominating mesomorphy. This can be regarded as a peculiarity of the Bulgarian diabetic patients. The somatotype of the Bulgarian diabetic females is more favorable on the risk, course and prognosis of the disease.
本研究的目的是确定2型糖尿病女性患者的体型。
对212例2型糖尿病女性患者进行了测量。这些患者为保加利亚族,分为两个年龄组:第1组:40 - 60岁,第2组:61 - 80岁。对照组由保加利亚族健康女性组成,无任何代谢、肿瘤或其他疾病,按年龄匹配分组。直接测量的指标有身高、体重、肱骨双髁宽度、股骨双髁宽度、放松状态下的上臂围、收缩状态下的上臂围以及小腿围。皮褶厚度:肩胛下、髂上、肱三头肌上方和小腿处。计算的参数:希思 - 卡特人体测量体型的各组成部分。
40 - 60岁女性糖尿病患者的平均体型为中胚层 - 内胚层型(中胚层6.09;内胚层6.59;外胚层1.57)。40 - 60岁女性对照组的平均体型为中胚层 - 内胚层型(中胚层5.65;内胚层6.82;外胚层2.75)。61 - 80岁糖尿病女性的平均体型为内胚层 - 中胚层型(中胚层9.41;内胚层5.39;外胚层1.55)。61 - 80岁女性对照组的平均体型为中胚层 - 内胚层型(中胚层6.70;内胚层6.66;外胚层2.95)。女性糖尿病患者的年龄组间比较:40 - 60岁患者组以内胚层成分占主导,61 - 80岁患者组以中胚层成分占主导。在两组中,外胚层明显滞后。
40 - 60岁糖尿病女性的平均体型为中胚层 - 内胚层型;与对照组的中胚层 - 中胚层体型不同,内胚层和中胚层明显占主导,外胚层显著滞后。这就是我们得到一个向内胚层和中胚层急剧转变的扭曲体型图的原因。60 - 80岁糖尿病女性的平均体型为内胚层 - 中胚层型,中胚层成分占主导。它与对照组的体型不同,对照组中胚层和内胚层得分相同(中胚层 - 内胚层型)。女性糖尿病患者的体型表明,相对于身高,她们有相对粗壮的骨骼、发达的肌肉和更大的体重。与其他国家研究结果中明显以内胚层占主导不同,在我们的研究中,保加利亚糖尿病女性以中胚层占主导。这可被视为保加利亚糖尿病患者的一个特点。保加利亚糖尿病女性的体型在疾病风险、病程和预后方面更有利。